Individual
KATIE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2807 N PARHAM RD, RICHMOND, VA 23294-4410
(804) 387-7519
Mailing address
8769 HUGHESLAND RD, MECHANICSVILLE, VA 23116-2900
(804) 387-7519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704013810
VA
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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